15D2005537 CLIA NUMBER - DAWES FRETZIN CLINICAL RESEARCH GROUP LLC

Laboratory Demographics

  • CLIA Code: 15D2005537
  • Facility Name: DAWES FRETZIN CLINICAL RESEARCH GROUP LLC
  • Facility Address: 7910 NORTH SHADELAND AVENUE
    INDIANAPOLIS, IN
    ZIP 46250
  • Facility Phone: 317 621-7731
  • Facility Type: Other - RESEARCH FACILITY
  • Facility Type: Waiver
  • Lab Director: SCOTT FRETZIN
  • NPI Number: 1932188331
  • Taxonomy: 207N00000X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 15D2005537
LAB Type Other - RESEARCH FACILITY
Facility Name DAWES FRETZIN CLINICAL RESEARCH GROUP LLC
Street 7910 NORTH SHADELAND AVENUE
City INDIANAPOLIS
State IN
ZIP 46250
Phone 317 621-7731
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/30/2024
Certificate Expiration Date 3/29/2026
Facility Type Other - RESEARCH FACILITY
Lab Director SCOTT FRETZIN

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This page was last updated on: 3/20/2025